03-102991t
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: MCCARTHY
Project Address: 28625 27TH 9 P� S
Mechanical Permit #:03 -102991 - 00 - ME
Project Description: Install gas furnace in existing residence.
Inspection request line: 253.835.3050
Parcel Number: 746690 0320
Owner
Applicant
Contractor
Edwin M McCarthy & Carolyn J McCarthy
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
28625 27TH PL S
2800 THORNDYKE AVE W
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
SEATTLE WA 98199
98003-3307
(206) 282-4700
Mechanical Valuation..........................................2486
Over the Counter Permit......................................Yes
Mechanical Fixtures
Description Quanti Description Quantity Description Q au ntlryi
Furnaces
PERMIT EXPIRES January 18, 2004.
Permit issued on July 22, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Wa /
Owner or agent: Date:
CONSTRUCTION PERMIT APPLICATION
CITY Of r; TON NUMBER:PPICA
fi>
Federal Way 1APPLICATION NUMBER.,
PPLICATION NUMBER:
"The following is required information — Please print (in ink) or type's
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
/��� ••� / INFORMATION
SITE ADDRESS: `� �S.f? U� Z� f�1 S ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING U PLUMBING MECHANICAL O DEMOLITION
❑ ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed
PROJECT NAME:
PROPERTY OWNER: NAME: DAYTIMEPHON
G6 - 6 l MIYLc Cc •-�l� '. (Zs3) i7 z e
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
7�g�v7_C"
CONTRACTOR: I NAME: �t , t r / 1
I (/L�lJl /�/V)
iMAILING DRESS (STREET AD
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CITY, STATE. ZIP)•
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APPLICANT: I NAM/E:
I, )� W%/NW
MARLING ADDRESS (�TREET'� ' STATE, ZIP):
DAYTIME PHONE:
(?GYM) 2 -6z -
EVENING PHONE'
- I FAX NUMBER: _
EXPIRATION DATE:
DAYTIME PHONE:
EVENING PHONE:
FAX NUMBER:
O ARCHITECT o TENANT O OTHER ( DESCRIBE): ) _
�-E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT. o PROPERTY OWNER ❑ APPLICANT CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: O YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN O HIGHLINE G PRIVATE (SEPTIC)
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**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ti z• Fivy AC C4
ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
M
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACEINSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC XGAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
]ISCLAIMER/SIGNATIIRF Al C
WATER HEATER(S)
o ELECTRIC ❑ GAS
I certify under penalty of perjury that the Information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application Is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees Incurred in the
investigation and defense of such claim), which may be made by any person, Including the undersigned, and filed against the City of
Federal Way, but only where such claim arises out of the reliance of the city, Including its officers and employees, upon the accuracy
of the Information sy{pplied ty-the city as a part of this application._
NAME/TITLE: [L(J9/11d1�� �,Y` 1DATE: �� l 6
❑ PROPERTY OWNER O APPLICANT ❑ CONTRACTOR
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rSECT�ON:OWNStIIP�T„RANGE N.EVI/ADDRE557tE,� UIRED?tR'*o YES❑;NO ,i ,
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CDMMUNrrY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 2S3-661-4000 • FAX: 253-661-4129
www.Ztpffcggralway.com
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